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Tennessee rates for HCPCS 64616

Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.98 / $1,794.00 / $6,681.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,436.91 / $1,436.91 / $1,436.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.89 / $123.51 / $201.51
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$257.18 / $480.81 / $783.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.68 / $102.68 / $102.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$764.00 / $1,483.00 / $2,244.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.98 / $152.46 / $234.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $161.41 / $251.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $534.90 / $534.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.56 / $971.76 / $1,209.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $808.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.29 / $152.46 / $263.64